精神科护理练习卷（附答案）

Why are benzodiazepines used with caution in older adults?

1. AThey have no effect on the brain in older people
2. BThey raise blood pressure to dangerous levels after a single dose
3. CThey increase the risk of confusion, falls and fractures
4. DThey cause rapid weight gain and diabetes in all older adults

What is separation anxiety disorder in a child?

1. ANormal crying when a baby meets a stranger for the first time
2. BFear of social situations in which other children may laugh at them
3. CA lack of interest in parents and other close carers, with no distress when they leave
4. DExcessive, developmentally inappropriate fear of being apart from attachment figures

What is systematic desensitisation?

1. AGradual exposure to a feared situation, step by step, while using relaxation
2. BA medicine that reduces anxiety within minutes of being taken
3. CSudden and prolonged exposure to the most feared situation at once
4. DTeaching the patient to avoid the feared situation completely, so that the anxiety never has to be felt again

How may depression present differently in adolescents than in adults?

1. AWith irritability rather than obvious sadness
2. BWith increased energy and less need for sleep
3. CAlways with psychotic symptoms
4. DWith a high fever and a rash

Which group of signs suggests drug-induced pseudoparkinsonism in a patient taking haloperidol?

1. ARestless pacing and an inability to sit still
2. BShuffling gait, mask-like face, rigidity and a resting tremor
3. CLip smacking, tongue thrusting and grimacing after years of treatment
4. DSudden muscle spasm of the neck with the eyes rolled upwards

Shortly after a sexual assault, a woman in the emergency department is calm, quiet and answers questions in a flat voice. How should the nurse interpret this?

1. AHer calmness shows that the assault did not happen
2. BShe is probably exaggerating the seriousness of what happened, because she does not seem upset
3. CShe is not distressed and does not need any support
4. DA controlled response is a common reaction in the acute phase after assault

A 6-month-old has a spiral fracture of the arm. The parents say he "rolled off the sofa". The nurse also notices bruises of different colours on his back. What is the most appropriate action?

1. AAccept the parents' explanation, because babies often fall
2. BTell the parents that the nurse knows they are abusing the child
3. CDischarge the child quickly so that the parents do not become angry and stop bringing him for medical care
4. DReport the concerns through child protection procedures and ensure the child's safety

In the working phase of the relationship, a patient who has been talking openly starts missing sessions and changes the subject whenever her childhood is mentioned. What is the best interpretation?

1. AShe may be showing resistance as painful topics come closer, which the nurse can gently explore
2. BShe is being rude to the nurse on purpose and should be warned
3. CThe nurse has made a serious mistake and should hand her care to a colleague immediately
4. DShe no longer needs any help, so the sessions should end at once